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General NPI Number Information
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NPI Number | 1922518117
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Entity Type | Individual
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Provider Name | ODESSA ARIANNA RODRIGUEZ ND
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Gender | Female
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Dates
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Enumeration Date | 10/03/2017
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Last Update Date | 10/03/2017
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Provider Practice Location Address
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Address Line | 2164 E BROADWAY RD
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City | TEMPE
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State | AZ
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Zip | 85282-1766
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Country | US
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Telephone | 480-970-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 2613 E RIDGEWOOD LN
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City | GILBERT
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State | AZ
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Zip | 85298-2065
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Country | US
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Telephone | 602-690-1051
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 17-1646
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License Number State | AZ
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